Laparoscopic radical prostatectomy: single centre experience after 5 years.
Hong Kong Med J
; 14(3): 192-7, 2008 Jun.
Article
in En
| MEDLINE
| ID: mdl-18525087
ABSTRACT
OBJECTIVE:
To summarise our experience of laparoscopic radical prostatectomy in a single centre in Hong Kong over 5 years.DESIGN:
Retrospective study.SETTING:
Urology Division, Department of Surgery, Tuen Mun Hospital, Hong Kong. PATIENTS A total of 87 patients who underwent laparoscopic radical prostatectomy from March 2002 to May 2007. MAIN OUTCOMEMEASURES:
Peri-operative data and follow-up information.RESULTS:
The operative procedure used entailed Montsouris technique and its modifications, including the latest method involving the extraperitoneal descending technique. In all, 87 patients underwent the operation; in two, the procedure was converted to open surgery. Peri-operative parameters which showed improvement included operating time, blood loss, resort to blood transfusions, and the complication rate. There was no operation-related mortality. In organ-confined disease, a clear surgical margin was achieved in 93% of the patients, but in those whose disease was not organ-confined, the positive margin rate was 87%. Among patients with organ-confined disease, 13% had evidence of biochemical recurrence. Hormonal therapy was started in five patients, none of whom died during the follow-up period (mean, 24 months). Continence recovered in 69% of the patients by 6 months and in 92% by 12 months post-surgery. Assessment of erectile function before and after the surgery was problematic and estimated to be 20% among patients having the nerve-sparing procedure performed.CONCLUSION:
Although Hong Kong has a relatively low incidence for prostate cancer, it was possible to develop laparoscopic radical prostatectomy with acceptable early results. Further follow-up is warranted before formulating definitive conclusions about this procedure.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Prostatectomy
/
Prostatic Neoplasms
/
Laparoscopy
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Aged
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Asia
Language:
En
Journal:
Hong Kong Med J
Journal subject:
MEDICINA
Year:
2008
Document type:
Article
Affiliation country:
Hong Kong